How much rates vary
Facilitymedian $30 · 10th to 90th $17 to $45Professionalmedian $18 · 10th to 90th $14 to $37
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $223.87 | Facility | None | $14.45 | $14.45 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $154.88 | Professional | None | $14.45 | $14.45 | $154.88 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.45 Median $1.45 Typical High $8.91 | Professional | RR · Rental | $1.45 | $1.45 | $8.91 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $10.96 Typical High $64.57 | Professional | UE · Used equipment | $10.96 | $10.96 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $30.20 Typical High $47.86 | Facility | None | $26.30 | $30.20 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $39.81 | Professional | None | $17.78 | $20.89 | $39.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.78 Median $2.09 Typical High $3.55 | Professional | RR · Rental | $1.78 | $2.09 | $3.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $15.85 Typical High $20.89 | Professional | UE · Used equipment | $13.49 | $15.85 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $2.24 Median $16.98 Typical High $26.30 | Facility | None | $2.24 | $16.98 | $26.30 |
CareSource Setting Professional Modifier None Typical Low $1.91 Median $16.60 Typical High $23.99 | Professional | None | $1.91 | $16.60 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | None | $14.79 | $14.79 | $17.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | RR · Rental | $1.20 | $1.20 | $1.20 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | UE · Used equipment | $9.12 | $9.12 | $9.12 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | None | $14.79 | $14.79 | $17.38 |
Medical Mutual of Ohio Setting Professional Modifier RR · Rental Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | RR · Rental | $1.20 | $1.20 | $1.20 |
Medical Mutual of Ohio Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | UE · Used equipment | $9.12 | $9.12 | $9.12 |
Molina Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $22.91 | Professional | None | $16.98 | $20.89 | $22.91 |
SummaCare Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
United Setting Professional Modifier None Typical Low $8.51 Median $13.18 Typical High $18.62 | Professional | None | $8.51 | $13.18 | $18.62 |
United Setting Professional Modifier RR · Rental Typical Low $0.85 Median $1.32 Typical High $1.86 | Professional | RR · Rental | $0.85 | $1.32 | $1.86 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.31 Median $10.00 Typical High $14.13 | Professional | UE · Used equipment | $6.31 | $10.00 | $14.13 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | MS · Maintenance fee | $1.45 | $1.45 | $1.45 |
Where Ohio sits
The same service costs 3.1 times more in Kansas than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Ohio· 17th of 51
$20.89
KS $36.31NM $11.75
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.